The aim of the study is to Study effect of sensory motor integration training on ADL activities in children with Erb's palsy.

Thirty-two participants , their age ranged from two to six years for both genders (sixteen children treated with designed occupational therapy program group A and sixteen treated with designed occupational therapy program and sensory motor integration training group B )

Inclusion Criteria:

1. Their ages will be ranged from 2 to 6 years in both sexes.
2. The infants with Erb's palsy (C5-C6).
3. Can follow verbal commend
4. Muscle tone within normal and muscle power within functional range.
5. Intact vision and hearing.

Exclusion Criteria:

1. Children undergoing surgical treatment.
2. Cognitive problem and cognitive anomalies.
3. Children with Erb's engram.
4. Complete sensory loss.
5. Shoulder subluxation or dislocation.